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Ostomy Accessory, Convex Insert

South Dakota rates for HCPCS A5093

Ostomy accessory; convex insert

Rates data updated July 2026.

How much does Ostomy Accessory, Convex Insert cost?

$2.57

Typical negotiated rate. In South Dakota, July 2026.

Insurers have agreed to pay about $2.57 for this service. The price depends on where it is billed: about $2.51 from a physician practice, and about $2.95 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 7 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$2.51$1.86 to $3.09
FacilityA hospital or hospital-owned outpatient department$2.95$2.00 to $3.16

How much rates vary

Facilitymedian $3 · 10th to 90th $2 to $5Professionalmedian $3 · 10th to 90th $2 to $4
$1$2$5$10$20$50facility $3professional $3

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$2.00
Median
$2.00
Typical High
$2.00
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1.74
Median
$1.86
Typical High
$3.16
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1.62
Median
$1.62
Typical High
$3.09
Cigna
Setting
Professional
Modifier
Global
Typical Low
$3.02
Median
$3.02
Typical High
$3.72
Medica
Setting
Facility
Modifier
Global
Typical Low
$1.86
Median
$3.02
Typical High
$12.88
Medica
Setting
Professional
Modifier
Global
Typical Low
$1.10
Median
$1.74
Typical High
$35.48
Midlands
Setting
Professional
Modifier
Global
Typical Low
$2.51
Median
$3.02
Typical High
$3.02
Midlands
Setting
Facility
Modifier
Global
Typical Low
$3.09
Median
$3.09
Typical High
$3.09
Midlands
Setting
Professional
Modifier
Global
Typical Low
$2.51
Median
$2.51
Typical High
$4.90
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$2.29
Median
$2.75
Typical High
$3.63
United
Setting
Facility
Modifier
Global
Typical Low
$1.07
Median
$1.29
Typical High
$1.95
United
Setting
Professional
Modifier
Global
Typical Low
$0.91
Median
$1.82
Typical High
$3.24
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$2.24
Median
$2.24
Typical High
$2.24

Where South Dakota sits

The same service costs 2.3 times more in Hawaii than in Colorado. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

South Dakota· 5th of 51

$2.57

HI $2.95CO $1.26

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.